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Can mobile technology improve response times of junior doctors to urgent out-of-hours calls? A prospective observational study

Herrod, P. J. J., Barclay, C. and Blakey, John (2014) 'Can mobile technology improve response times of junior doctors to urgent out-of-hours calls? A prospective observational study'. QJM, Vol 107, Issue 4, pp. 271-276.

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Abstract

Background: The Hospital at Night system has been widely adopted to manage Out-of-Hours workload. However, it has the potential to introduce delays and corruption of information. The introduction of newer technologies to replace landlines, pagers and paper may ameliorate these issues.

Aim: To establish if the introduction of a Hospital at Night system supported by a wireless taskflow system affected the escalation of high Early Warning Scores (EWSs) to medical attention, and the time taken to medical review.

Design: Prospective ‘pre and post’ observational study in a teaching hospital in the UK.

Methods: Review of observation charts and medical records, and data extraction from the electronic taskflow system.

Results: The implementation of a technology-supported Hospital at Night system was associated with a significant decrease in time to documentation of initial review in those who were reviewed. However, there was no change in the proportion of those with a high EWS that were reviewed, and throughout the study a majority of patients with high EWSs were not reviewed in accordance with guidelines.

Conclusions: Introduction of a Hospital at Night system supported by mobile technology appeared to improve the transfer of information, but did not affect the nursing decision whether to escalate abnormal findings.

Item Type: Article
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > WA 20.5 Research (General)
WX Hospitals and Other Health Facilities > Clinical Departments and Units > WX 203 Medical personnel. Interns. Staff manuals. Ward manuals and precedent books
WX Hospitals and Other Health Facilities > Clinical Departments and Units > WX 215 Emergency service. Ambulance service
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1093/qjmed/hct242
Depositing User: Lynn Roberts-Maloney
Date Deposited: 09 Sep 2014 09:26
Last Modified: 06 Feb 2018 13:07
URI: https://archive.lstmed.ac.uk/id/eprint/4445

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